Comprehensive Aesthetic Medicine Hands-on Course

Skin structure & ageing

• Skin structure and function, wound healing and collagen biology
• Fitzpatrick skin types and what they mean for South Asian skin
• Intrinsic vs extrinsic ageing; Glogau photoageing classification

Facial anatomy for injectors

• Facial layers, fat compartments and ligaments; how the face ages layer by layer
• Muscles of facial expression and their actions
• Arterial and venous anatomy of the face; nerve pathways
• Danger zones: glabella, nose, nasolabial fold, temple, periorbital region and lips
• Sensory nerves of the face (supraorbital, supratrochlear, infraorbital, mental) and their foramina, as the basis for regional nerve blocks
• Anatomy of the neck, décolletage, hands and scalp for non-facial treatments

• Surface anatomy mapping and marking of danger zones on models
• Facial analysis: proportions, symmetry and volume assessment

Patient assessment

• The aesthetic consultation: concerns, medical history, medications and previous treatments
• Patient selection, contraindications and when to say no
• Recognising body dysmorphic disorder and unrealistic expectations

Consent & records

• Informed consent: risks, alternatives, costs and expected course
• Documentation, treatment records and product batch tracking
• Standardised clinical photography: lighting, positioning and consent for images

Infection control

• Aseptic technique and skin preparation
• Clinic hygiene, sharps and clinical waste
• Storage and handling of products and medicines

Anaesthesia & comfort for procedures

• Topical anaesthetics: products, application time, maximum treatment area and the risk of toxicity with large areas or occlusion
• Local infiltration and regional nerve blocks (supraorbital, infraorbital, mental) for fillers, lasers and minor procedures
• Local anaesthetic systemic toxicity: early signs and immediate management
• Non-drug comfort measures: cooling, vibration and patient communication

• Mock consultations and consent conversations
• Clinical photography protocol practice
• Setting up an aseptic procedure tray
• Topical anaesthetic application and timing protocol
• Landmarking for supraorbital, infraorbital and mental nerve blocks on models

Recognising complications early

• Bruising, swelling, infection, nodules and biofilm; early vs delayed complications
• Vascular occlusion: early signs (blanching, pain, livedo, delayed capillary refill) and the time-critical response
• Visual disturbance after filler as an emergency: immediate escalation pathway
• Toxin complications: spread, asymmetry, dysphagia and other rare systemic effects
• Device complications: laser and RF burns, paradoxical hair growth, fat loss and paradoxical adipose hyperplasia after cryolipolysis
• Herpes simplex reactivation after peels, lasers and lip treatments: who needs antiviral prophylaxis
• Tyndall effect, filler migration and late-onset inflammatory reactions

Emergency protocols

• Hyaluronidase: reconstitution, patch-test considerations and high-dose pulsed protocols for vascular occlusion, following current expert consensus
• Anaphylaxis recognition and management in the aesthetic clinic
• Vasovagal episodes and basic life support
• The aesthetic emergency kit and clinic emergency plan

• Simulated vascular-occlusion drill, including hyaluronidase preparation
• Anaphylaxis and basic life support drills
• Checking and stocking an emergency kit

Skin care & cosmeceuticals

• Building a skin-care routine: cleansing, moisturising and sun protection
• Evidence for retinoids, vitamin C, AHAs/BHAs, niacinamide and other actives
• Skin preparation before procedures

Chemical peels

• Peel classification by depth: superficial, medium and deep
• Common peeling agents and how they work
• Choosing a peel by indication and Fitzpatrick type; reducing PIH risk in darker skin
• Pre- and post-peel care; recognising and managing peel complications
• Medium-depth peels: TCA and combination (Jessner's + TCA) peels — indications, technique and frosting levels
• Deep (phenol–croton oil) peels: an overview only — cardiac, renal and hepatic risks, monitoring requirements and why these belong in specialist settings
• Peels for melasma, post-inflammatory hyperpigmentation, acne and body areas (back, underarms, knees, elbows)

Pigmentation & melasma

• Assessing pigmentation: melasma, post-inflammatory hyperpigmentation, lentigines, freckles and acquired dermal pigmentation; Wood's lamp and dermoscopy
• Medical treatment first: strict photoprotection including visible-light protection, topical lightening agents and tranexamic acid (topical and oral), with their safety checks
• Where peels, microneedling and lasers fit, and why aggressive treatment worsens melasma in darker skin
• Recognising exogenous ochronosis and steroid damage from unregulated 'whitening' creams

• Skin analysis and personalised skin-care plans
• Superficial peels on models under supervision
• Pigmentation assessment and combined treatment planning

Facial treatments

• Microdermabrasion: indications, technique and limits
• HydraFacial: protocol, indications and patient selection
• LED therapy: wavelengths, evidence and realistic expectations

Acne & acne scarring I

• Medical management of active acne alongside procedures
• Classifying acne scars and planning treatment

Dermaplaning & other facial procedures

• Dermaplaning: indications, technique, contraindications (active acne, infection) and aftercare
• Oxygen, ultrasonic and jet-peel facials: what they do and realistic claims
• Comedone and milia extraction: sterile technique and avoiding scarring

• Microdermabrasion, HydraFacial and LED sessions on models
• Acne and scar assessment and treatment planning
• Dermaplaning and extraction technique on models

Laser principles & safety

• Laser and light physics: wavelength, chromophores, fluence and pulse duration
• Laser safety: eye protection, controlled areas and fire safety
• Treating darker skin types safely

Applications

• Laser hair removal: patient selection, device choice and settings principles
• Pigment lasers and IPL for pigmentation and vascular lesions
• Ablative and non-ablative fractional resurfacing
• Recognising and managing burns, pigment change and other complications

More laser applications

• Q-switched and picosecond Nd:YAG lasers: tattoo removal, naevus of Ota and other dermal pigment, and the carbon laser peel
• Vascular lasers (pulsed dye laser, long-pulsed Nd:YAG): telangiectasia, rosacea, port-wine stains and cherry angiomas, and when to refer
• Fully ablative CO2 and Er:YAG resurfacing: overview, downtime and risks in darker skin
• Lasers and light for acne and acne scars

• Laser hair removal and IPL on models under supervision
• Test patches and treatment documentation
• Supervised carbon laser peel and Nd:YAG treatment
• Laser treatment planning for tattoos and vascular lesions

Energy-based devices

• Radiofrequency (RF) and RF microneedling: principles and indications
• HIFU: indications, patient selection and safety

Microneedling & PRP

• Microneedling: depth, technique and aftercare
• PRP: preparation, indications for skin and hair, and evidence

Body contouring & skin tightening

• Cryolipolysis: patient selection, applicators, results and complications including paradoxical adipose hyperplasia
• RF, HIFU and electromagnetic muscle stimulation for body contouring and laxity
• Cellulite: classification and the evidence for devices, subcision and injectables
• Neck, décolletage and hand rejuvenation with devices

Hair restoration

• Assessing hair loss: androgenetic alopecia, telogen effluvium, alopecia areata and scarring alopecias that need specialist referral; trichoscopy and baseline blood tests
• Medical foundations: topical and oral minoxidil and finasteride, with their counselling points
• PRP, microneedling and mesotherapy for hair: protocols and evidence
• Low-level laser therapy, exosomes and other emerging treatments: what the evidence does and does not show
• Hair transplantation (FUE/FUT): an overview, patient selection and referral

• RF, HIFU and microneedling demonstrations and supervised practice
• PRP preparation and supervised treatment
• Body-contouring consultation, measurement and device demonstration
• Scalp assessment, trichoscopy and supervised scalp PRP

Botulinum toxin fundamentals

• Pharmacology, products, reconstitution and storage
• Patient assessment and dosing principles
• Upper face: glabellar lines, forehead lines and crow's feet
• Complications such as eyelid or brow ptosis, and how to prevent and manage them

• Marking and supervised upper-face toxin treatment on models

Botulinum toxin II

• Lower face and neck: introduction to masseter, DAO, gummy smile and platysmal bands
• Hyperhidrosis treatment

Dermal fillers I

• Hyaluronic acid fillers: rheology and product selection
• Needle vs cannula technique
• Lips, nasolabial folds and cheeks: assessment and technique

Advanced toxin indications

• Brow shaping, bunny lines, lip flip, chin dimpling and the 'Nefertiti' neck lift
• Masseter reduction and bruxism; DAO and gummy smile in detail
• Micro-droplet ('micro-toxin') technique for skin quality and oil control
• Axillary and palmar hyperhidrosis: starch-iodine mapping and technique

• Supervised toxin and filler treatments on models
• Supervised advanced toxin indications on models

Dermal fillers II

• Chin, jawline and tear trough: higher-risk areas and when to refer
• Biostimulators and non-HA fillers: an overview
• Temples and midface restoration: anatomy-led technique
• Non-surgical rhinoplasty: a high-risk area — demonstration, risks and patient selection only, within scope and with referral pathways
• Hands, neck and décolletage rejuvenation with fillers and biostimulators
• Profile balancing and full-face treatment planning
• Hyperdilute calcium hydroxylapatite and poly-L-lactic acid: reconstitution and technique

Skin quality treatments

• Skin boosters and mesotherapy: products, techniques and evidence
• Fat-dissolving (lipolytic) injections: patient selection, technique and complications
• Polynucleotides, exosomes and other regenerative injectables: products, evidence and regulatory status
• Under-eye and periorbital skin-quality options

• Supervised advanced filler, skin-booster and mesotherapy treatments on models

Threads

• PDO threads: types, vectors, patient selection and complications
• Mono, screw and cog threads: what each can and cannot achieve
• Thread complications: dimpling, extrusion, infection and asymmetry, and how to manage them

Sclerotherapy basics

• Sclerotherapy for telangiectasia and reticular veins: patient selection, contraindications and when to refer

Scar & acne management II

• Combining subcision, peels, microneedling and energy devices for acne scars
• Hypertrophic scars and keloids: options and referral

Minor skin procedures

• Electrosurgery and radiofrequency ablation for skin tags, seborrhoeic keratoses, dermatosis papulosa nigra and syringomas
• Cryotherapy for warts and seborrhoeic keratoses: technique and pigment risk in darker skin
• Never destroy an undiagnosed lesion: recognising suspicious moles and when to biopsy or refer
• Shave and punch biopsy principles and sending histology

Intimate & other specialist treatments

• Energy-based 'intimate rejuvenation': an overview of the evidence and regulatory safety warnings, and why careful selection and referral matter

• Supervised thread placement on models
• Scar treatment planning and supervised procedures
• Supervised electrosurgery and cryotherapy for benign lesions

Regulation & ethics

• Punjab Healthcare Commission (PHC) registration and licensing for aesthetic practice
• Ethical advertising, honest before-and-after images and realistic claims
• Scope of practice, medico-legal risk and record-keeping

Building a practice

• Setting up a safe clinic: equipment, products and protocols
• Pricing, patient experience and follow-up

Final assessment

• Practical assessment of supervised procedures on models
• Written assessment and review of your logbook
• AACM certificate of completion on successful assessment

Combination treatment planning

• Sequencing toxin, fillers, skin-quality treatments and devices in a full-face plan
• Planning treatment over time and budget, with honest expected results

• Final practical assessment
• Course review and individual feedback
• Full-face assessment and written combination plan for a model